Apply to Adopt

Admin Note 8/29/2019: The application Form is back online.

To adopt a Westie in need of a great new home, please submit the adoption form below. If you are applying for a Westie out side of the Mid-Atlantic area, your form will be forwarded to your local Westie Rescue organization/volunteer.

Application submit is not a guarantee of adoption consideration. Please follow up with the organization to which you are applying to adopt, as all these organizations are run by volunteers. They will appreciate your follow up!

Please Also Note: Not all Westie Rescue organizations accept the Westie Rescue USA automated application form as they have different requirements, such as requiring a donation with the application. Check with your local organization to see if they use a unique form and/or process for adoption consideration.

Thank you for your interest in giving a homeless Westie a second chance at a great new life!

Please provide your physical address (where the adoptive dog will reside) if different from mailing address.

We will forward your application to the appropriate Westie Rescue organization based on your state. Please select your state for the purpose of getting your application to the appropriate organization.*

You must answer this question. If you aren't able to, we cannot send your application to a local rescue.

Primary applicant age*

Primary applicant occupation

Co-Applicant Information

Co-applicant name

FirstLast

Co-applicant email

Co-applicant phone

Co-applicant age

Co-applicant occupation

Co-applicant relationship to primary applicant

Desired Westie

Sex*

Are you willing to house train?*

Yes, I am willing to house train

No, I prefer a housebroken dog

Not sure

Age preference (NOTE: dogs under 3 years of age are seldom turned in for rescue)*

No preference

Prefer Under 1 Year of Age

Prefer 1-3 Years

Prefer 4-6 Years

Prefer 6+ Years

Why do you want a Westie? (Select all that apply)*

Your Home

Do you...*

Renters: Are you willing to provide a copy of your lease or a notarized statement from your landlord authorizing you to keep a dog?

Yes

No

How many years have you lived at your current address?*

What type of home do you live in?*

Apartment/condo

Townhouse

Single family house

Do you have a completely fenced in, secure yard for the dog you wish to adopt?*

Yes

No

What type of fence is it?

Do you have a pool or hot tub?*

Yes

No

How do you plan to exercise the dog?*

How many adults live in your house?*

Please enter a value between 1 and 99.

How many children (under age 18) live in your house?*

Please enter a value between 0 and 99.

Please list the ages of all children (under age 18) in the household.

Who will be the dog's primary caretaker?*

Does the primary caretaker have experience with dogs?*

Yes

No

Is anyone home in this person's absence?*

Yes

No

Is the primary caretaker capable of exercising the dog?*

Yes

No

How long will the dog be without humans daily?*

How long will the dog be alone during evenings?*

Where will the dog be housed while alone?*

Where will the dog sleep at night?*

Is anyone in your household allergic to dogs?*

Yes

No

Does anyone in your household have asthma?*

Yes

No

Does your job require frequent out of town travel?*

Yes

No

Who will care for the dog when you are out of town?*

Are you subject to relocation?*

Yes

No

What would you do with the dog if you moved?

Does anyone residing in your household smoke?*

Yes

No

Westie Care and Commitment

For a healthy dog, costs of veterinary care (shots, exams, flea and heartworm preventative), food, toys, and minimal boarding and grooming can cost $750-1000 a year. In addition, dogs are susceptible to most diseases that afflict humans such as allergies, cancer, heart disease, arthritis, etc.

Are you prepared to provide medical treatment for such problems as needed?*

Yes

No

Westies can live 15 - 20 years. Are you prepared to commit to a Westie for his/her entire life?*

Yes

No

We require all Westies to be altered before adoption. Are you opposed to spaying or neutering dogs?*

Yes

No

Westie Rescue vaccinates dogs for rabies and other preventable diseases in accordance with veterinary guidance and legal requirements. Are you opposed to vaccinating your dogs?*

Yes

No

Please explain your reasons as to why you would not vaccinate your dogs.

Tell us about your pet experience.*

Do you currently own a Westie (or Westies)?*

Yes

No

What is his/her name and age? (What are their names and ages?)

Have you ever owned a terrier?*

Yes

No

What kind of terrier?

Please list all the pets you have owned in the past 10 years. If none, include pets you have owned during your adult life and any pets residing in your home that you do not own. Include the following information: Species, Breed, Gender, Age, Altered (Yes/No) and Where the pet is now.*

Have you ever had a pet that died at an early age, became lost or disappeared?*

Yes

No

Please explain the circumstances (dog less than 10 years and cat before 14 years).

Have you ever sold, given away or surrendered a pet to a shelter, rescue, or animal welfare organization?*

Yes

No

Please explain the circumstances that led to you selling, giving up or surrendering your pet?

If you presently have a dog, is it current on vaccinations?*

Yes

No

Not applicable

Please explain why your dog is not current on vaccinations.

If you presently have a dog, where is it primarily housed?*

Inside

Outside

Both

Personal References

Please provide references for your application. Please do not list anyone related to you (e.g., family members). Your references should be familiar with your pet care experience or be able to vouch for your character.

Name of Personal Reference #1*

Phone Number of Personal Reference #1*

Best time to reach Personal Reference #1*

Daytime (9am-5pm)

Evening (5-9pm)

Relationship of Personal Reference #1 to you*

Friend

Neighbor

Co-worker

Supervisor

Dog walker

Community acquaintance

Name of Personal Reference #2*

Phone Number of Personal Reference #2*

Best time to reach Personal Reference #2*

Daytime (9am-5pm)

Evening (5-9pm)

Relationship of Personal Reference #2 to you*

Friend

Neighbor

Co-worker

Supervisor

Dog walker

Community acquaintance

Name of Personal Reference #3*

Phone Number of Personal Reference #3*

Best time to reach Personal Reference #3*

Daytime (9am-5pm)

Evening (5-9pm)

Relationship of Personal Reference #3 to you*

Friend

Neighbor

Co-worker

Supervisor

Dog walker

Community acquaintance

Intended Veterinarian

Veterinarian name

Name of veterinary clinic*

Veterinary clinic address*

Street AddressCityStateZIP Code

Veterinary clinic phone number*

Is this veterinary clinic familiar with your current or former pets?*

Yes

No

Not applicable

Please note we may contact your veterinarian for a reference.

Submit Your Application

The information I have provided in this application is true and complete. I understand that completion of an adoption agreement is a requirement of adoption. I understand that any misrepresentation of facts in this application, failure to sign and return the adoption agreement, or failure to comply with any requirement of the Westie Rescue organization from which I wish to adopt a dog will result in removal by Westie Rescue of any dog adopted from them, and I agree to immediately surrender physical custody of the dog in that circumstance.*

By checking this box, I indicate my agreement with the statement above